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NPI Code Detail

MEDICARE: CRYSTAL D BROWN PHARM D

MEDICARE: CRYSTAL D BROWN PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist36740TN

General Provider Information

NPI Number : 1548507122
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL D BROWN PHARM D
Provider Business Mailing Address
First Line : 4324 HARDING PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-2202
Country : US
Telephone Number : 615-279-2048
Fax Number :
Provider Business Practice Location Address
First Line : 4324 HARDING PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-2202
Country : US
Telephone Number : 615-279-2048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2013
Last Update Date : 01/15/2013

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